In their Policy Forum “HIV testing in China”, Z. Wu et al. describe the new Chinese national program of active, provider-initiated HIV/AIDS testing among prisoners and other high-risk groups. For some groups, such as prisoners and government workers, individuals consent to health examinations that include an HIV test, rather than directly consenting to the test … Read more

This paper provides a simultaneously reflexive and analytical framework to think about obstacles to truly informed consent in social science and biomedical research. To do so, it argues that informed consent often goes awry due to procedural misconceptions built into the research context. The concept of procedural misconception is introduced to describe how individuals respond … Read more

OBJECTIVE: Most patients who misuse alcohol do not receive alcohol counseling from their providers. This study evaluated primary care patient and provider characteristics associated with receipt of alcohol-related advice and whether patients were advised to drink less or to abstain. METHOD: Outpatients from seven Veterans Affairs (VA) general medicine clinics were eligible if they screened … Read more

The claim that aging itself is treatable or even preventable has repeatedly been made over the centuries. Antiaging medicine is the current leader of approaches that even claim that geriatrics as a discipline will become increasingly unnecessary. The concept of mild cognitive impairment (MCI) as a condition intermediate between normal cognitive aging and Alzheimer’s disease … Read more

This article presents the findings from a review of ethnographic approaches to child care research. Ethnographic research has enhanced researcher and practitioner understandings of the child care environment by providing entry into the child care center as an important site not only of development and education, but also of social reproduction and enculturation. The extant … Read more

OBJECTIVE: To describe factors that affect infertility patients’ decision making regarding their cryopreserved embryos. DESIGN: Forty-six semistructured in-depth interviews of individuals and couples participating in IVF programs. SETTING: Two major southeastern academic medical centers. PATIENT(S): Fifty-three individuals, including 31 women, 8 men, and 7 couples. MAIN OUTCOME MEASURE(S): Qualitative analysis of interview transcripts. INTERVENTION (S): … Read more

With the advent of new AIDS treatment initiatives such as the World Health Organization’s “3 by 5” program and the United States’ “President’s Emergency Plan for AIDS Relief,” the ethical questions about AIDS care in the developing world have changed. No longer are they fundamentally about the conduct of research; now, we must turn our … Read more

In her monograph, Monica Konrad is engaged in several important intellectual projects that compete for centrality in the analysis of her ethnographic data. These projects include the following contributions: adding to the empirical record regarding genetic testing and decision-making, challenging the boundaries of bioethics discourse, arguing for engaged scholarship to inform developments in public policy, … Read more

The conduct of clinical research often involves two distinguishable sets of relationships: the researcher-subject relationship, and the clinician-patient relationship. Some scholars argue that being a patient in a clinical care setting and a subject in a research study are so different that anything that would promote in subjects the view that they are in clinician-patient … Read more

Change in the way new drugs are developed, including the privatisation of clinical trials, has altered the arrangement and roles of healthcare professions. In this paper I examine one aspect of this change: the role of research coordinators in the conduct of contract research in the United States. My focus on coordinators highlights the ethical … Read more